Personal Statement

To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more

To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.

More about Dr. Azimunnisa

Dr. Azimunnisa is a renowned Gynaecologist in Adibatla, Hyderabad. Doctor has been a practicing Gynaecologist for 26 years. Doctor is a MBBS . You can visit him/her at Niyar Nursing Home in Adibatla, Hyderabad. Save your time and book an appointment online with Dr. Azimunnisa on Lybrate.com.

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In vitro fertilisation, commonly known as IVF, is the process of fertilising single or multiple eggs outside the body. This treatment can be performed by either using your own egg and sperm or using donated egg or sperm or sometimes both. The resulting sperms and eggs are evaluated for quality and then one or more of them are positioned properly in the uterus through the cervix. IVF is regarded as one of the most commonly opted treatment plans, and it accounts for more than 99% of assisted reproductive technology processes.

Who are suitable for IVF?
IVF can be helpful for you in case you have some issues with the egg quality or ovulation, fallopian tubes that are blocked in some way or endometriosis. It can also help you get pregnant if your partner has problems with mortality and reduced sperm count and when you have opted for donor eggs. About 1.5% of babies in the United States are conceived through the IVF process.

How does IVF work?
There are several steps through which IVF process works and the timeline follows the following steps:

Stimulation for ovary: You will have to take a special kind of fertility drug for 8 to 14 days near the start of your menstruation cycle. This drug aids in the stimulation of your ovaries for developing multiple mature eggs to fertilise instead of a single one. You may also need to take an artificial hormone-like cetrofelix and leuprolide for keeping your body from releasing eggs very early.

Development of follicle: When you are under all these medications, you will have to visit your doctor’s office often for checking the hormone levels as well as ultrasound measurements for the ovaries.

Getting the trigger shot: Once the follicles are ready, you are likely to receive a trigger shot, which is an injection causing the eggs for maturing fully and becoming capable of being fertilised. Your eggs are ready for being retrieved after about 36 hours of receiving this shot.

Gathering the eggs: At this stage, you are likely to receive an aesthetic or ultrasound probe that is inserted through the vagina for checking the ovaries and identifying the follicles. Normally, about 8 to 15 eggs are retrieved through the insertion of a thin needle.

Fertlisation: This is the most vital step, where an embryologist is going to examine the eggs before they are combined with the sperm and incubated overnight. Fertilisation happens at this particular time, but abnormal eggs are not fertilised.

Then the embryos slowly develop and are planted on the basis of your age and clinical condition. When the treatment is working, an embryo is implanted in the uterine walls and starts developing.

Having a baby is nothing less than a dream come true, but it comes with its own share of problems for new mothers. A lot of women today are opting for a C-section, or a Cesarean surgery to deliver their babies. While it is safe for most, at times certain complications can arise as a result of the operation.

As if life for mothers wasn’t tough already, post Cesarean wound infection is another concern some new mothers have to face. It usually occurs due to a bacterial infection in the area where the incision was made during surgery. If you have recently had a C-section, look out for signs in the first couple of weeks such as fever (100.5ºF to 103ºF), wound sensitivity and pain in the lower abdomen area. Other symptoms include swelling at the incision point or in the legs, discharge from the wound, smelly vaginal discharges or blood clots and difficulty in passing urine. If you notice any of these signs, act fast and consult your gynaecologist at the earliest, to avoid complications from the infection.

Why does it happen?
There can be various reasons that an infection happens, just like on any other part of the body where a wound is exposed. Generally, it is more prevalent among obese or overweight women or those taking any form of steroids. Other causes include, an incision closed with staples or nylon sutures, in cases of an emergency C-section, or from an infection of the amniotic sac.

Types and Treatment
C-section wound infections are of two types that is Cellulitis or wound abscess and thrush.

Cellulitis and wound abscesses are caused by bacteria and are treated with antibiotics. If you’re in the hospital, you will be given the antibiotics intravenously, but if not, they can be taken orally as well. In case of abscesses, the pus is first drained out and smeared with antiseptic before being covered with gauze, after which the wound will heal on its own.

Thrush is caused by a fungal infection and is normally seen in women taking steroids or in those who have a weak immune system. Anti-fungal drugs are provided to combat the issue.

How can it be prevented?
Here are some things new moms can do to prevent the C-section wound from getting infected:

Regular follow-up visits with your obstetrician

Practising good hygiene and healing

Stay hydrated and drink plenty of fluids

Avoiding any strenuous exercises that may put pressure on the abdomen area and stitches

Resting as much as possible

Remember, even if you do develop an infection, it can be treated if addressed in time. New mothers need to take extra care of themselves, as a healthy mom, makes a happy mom!

Ipill is an emergency contraceptive pill and should not be used regularly.
For contraception you can opt for Barrier method (condoms) or oral contraceptive pills.
Inj contraceptive -inj depoprovera 150 mg is given every three months ,but it causes menstrual irregularities in some. Best for you will be condoms or ocp's.

its absolutely okay as of now. if conception doesnt occur even after 1 year of unprotected intercourse then it mandates further evaluation. mosy couples will conceive within a year. i hope you have sexual intercourse more during the fertile period of your wife ?

Hi,
After menopause, the oestrogen levels go down and as a result it affects the bones causing arthritis and osteoporosis. Hence a women needs to start on calcium supplements to take care of their bone density. Drink two glasses of milk everyday which is rich in calcium.
There is a tendency of weight gain after menopause. So, perform some physical exercises like yoga. walking and do meditation to keep your mind calm. Be careful about diet . Cut down on high calorie diet like sweets, oil fried food, chats, bakery food, etc. Be active. Get your sugar levels, serum calcium levels, Vit. D3 levels and cholesterol levels tested once in a year.

Hi Lybrate User! ESR is increased in pregnancy due to increase in levels of certain proteins (globulin and fibrinogen. The value ranges upto 50 mm Hg in the first half of pregnancy. It is further increased if you are anemic. Get your Hb checked. So if you are only worried about an isolated increase in ESR, then no worries.

If you want to ligate your fallopian tube it can be done free in government hospital and in priwate it may cost around 15k, if you want open blocked tubes it has to investigated thoroughly then operated Laparoscopic way cost may be around 70k.